I acknowledge that my participation in the program is voluntary and may involve the risk of injury or economic losses. These injuries/losses may result not only from my negligent actions or omissions but also from the negligent actions or omissions of others. Any injuries or losses sustained because of the condition of the facility, the negligent or omitting actions of an individual, will not be the liability of the Delaware County Medical Examiner’s Office. Any injuries or losses that may occur while observing Autopsy Technicians, Evidence Technicians, Pathologists, or Forensic Investigators in their official capacity as well as being directly involved in any medical procedure, such as an Autopsy, will not be the liability of the Delaware County Medical Examiner Office.
By placing my signature on this form, I hereby waive and release, myself and my heirs and assigns, from any claims and charges, against Delaware County Medical Examiner’s Office and their subsidiaries, divisions, agents, and employees.
I agree to assume any risks of personal injury, including without limitation, the responsibility for the payment of any medical or hospital bills, and damage to personal property caused by or arising from my participation.
I acknowledge that I may be provided with access to personal, proprietary, and/or otherwise confidential information as part of my participation in the program. I agree that I will maintain in strictest confidence the confidential information to which I have access. I will not share confidential information with any individual who is not authorized to view such data. Confidential information includes, but is not limited to: Identity of the descendants, manner and cause of death, and other confidential information related to any investigation,
I have carefully read this Consent and Release and fully understand its contents. I sign this Consent and Release of my own free, voluntary, and intentional action and intend it to be legally binding.